• Title/Summary/Keyword: Benefit ratio

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Equity in the Delivery of Health care in the Republic of Korea (의료이용의 형평성에 관한 실증적 연구 -공.교 의료보험 피부양자를 대상으로-)

  • 명지영;문옥륜
    • Health Policy and Management
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    • v.5 no.2
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    • pp.155-172
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    • 1995
  • This study is an empirical analysis on the equity in the delivery of heatlh care under the Korean Medical Insurance Corporation System. The purposes of this study are to find out effects of income on the health care utiliztion and measure the income-related inequity in the distribution of health care. This study was carried out based on the fact that the health insurance program has been organized to achieve the equity objective, "equal treatment for equal needs". Of 41, 828 insured persons who had been diagnosed in the 1993 Health Screening Test and utilifzation data from 1, January 1993 through 31, December 1993 were derived from the Benefit Managment File. Inequity was measured by means of I) share approach, ii) standardization concentration curve approach, iii) inequity index, iv) test for inequity. The major findings were as follows : 1. The expenditure shares of the top two quintile groups exceeded their morbidity shares, whereas the opposite was true of the bottom three quintile groups, Which showed a positive HI$_{LG}$ inequity index, suggesting the presence of some inequity favoring the rich group. 2. Compared with other residential areas, the rural area showed the highest positive HI$_{LG}$ irrespective of need indicatior applied. 3. Standardized expenditure concentration indices adjusted by age, gender and need structure were also found to be positive, and therefore still indicated that there has been inequity favoring the rich after the standardization. 4. The Loglikelihood Ratio (LR) test for the statistical significance of income-related inequity of medical care utilization was carried out using the logistic regression model. The resulting loglikelihood ratio test statistic value was 176, which did exceed the 0.5 percent critical value of the chi-square distribution with 28 degrees of freedom, which is 50.993. Therefore, the null hypothesis of no income-related inequity of medical care utilization was rejected at the 99.5 percent confidence level. 5. The Regression based F-test has been carried out for analyzing the income-related inequity of medical expenditure in terms of age, gender, morbidity indicators as explanary variables. The hypothesis of the absence of income-relate inequity was rejected for all need indicators at the 95% confidence level.nce level.

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A study on improvement of house space considering the indoor life characteristics and living type for disabled (장애인의 실내 생활 특성 및 주거유형을 고려한 주거 공간별 개선 방안에 관한 연구)

  • Kim, In-Soon;Lee, Kyoo-Il;An, Sung-Joon;Lee, Young-Hwan
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.17 no.4
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    • pp.39-47
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    • 2011
  • Population ageing and the disabled population is increasing. so disabled population and elderly people in the physical environment for Barrier-Free recently has been getting attention. according to a recent welfare paradigm shift of life support promoting for the housing remodeling. but basic remodeling made of simple living environment improvement and facilities installation for the type of disability customised housing remodeling. efficient housing remodeling plan for remodeling before and after through change the safety accidents occurred ratio. living environment for the improvement of housing and reconstruction for the benefit of comprehensively considering for disability subject in Indoor living type and the type of disability, housing type etc. and personalize house was remodeling for corresponding each space problem for identify obstacles and living types. as a result satisfaction changes & safety accident rate changes as follow. first, have complained that there was a in to residents environment furniture for reconstruction of the former housing remodeling needs survey. 80.2% of total for the percentage of households with high needs remodeling. second, The survey did not meet the 29 furniture as after the construction for died about recipient & up sticks & long absence. this leave out after the safety accident Corporation about 101 housing in the 88% of households did not happen. as a result, the lower the ratio of safety accidents occurring very revealed. third, grasp the meaning for indoor living type. showed that each approach(83%), front porch(90%), kitchen, living room(91%), bedroom(93%), toilet(92%) for each space remodeling satisfaction flow through customized housing remodeling.

An Experimental Study on the Property and Stability of W/O Emulsion by Various Structures of Emulsifier (유화제의 구조에 따른 W/O 에멀젼의 특성 및 안정도에 관한 연구)

  • Kim, Woon-Ha;Lee, Kwang-Sik;Lee, Kun-Kook
    • Journal of the Society of Cosmetic Scientists of Korea
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    • v.38 no.2
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    • pp.119-131
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    • 2012
  • The W/O emulsion is widely used for cosmetics because of its water-proofing benefit and long-lasting moisturizing effect. However, because of low stability of the W/O emulsion, it is very important to control the concentration of electrolyte and emulsifying agent, and ratio of water phase. Among these factors, we focused on the effects of different structures of emulsifying agents on the change of stability. Emulsifying agents were sorted into polyglyceryl ester, silicone and sugar series. We also examined the emulsifyingability of emulsifier by changing the ratio of normal and silicon oil in the oil phase. Through these experimental results, we figured out the property of w/o emulsion depending on the types of emulsifiers, and observed the stability of emulsion considering the change of particles and viscosity over time.

An Application of CDM Project for Greenhouse Gas Reduction Activities in the Wastewater Treatment Systems (하수처리시스템 온실가스 저감활동에 대한 CDM 사업 적용에 관한 연구)

  • Kwak, In-Ho;Hwang, Young-Woo;Jo, Hyun-Jung;Park, Kwang-Ho
    • Journal of Korean Society of Water and Wastewater
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    • v.24 no.3
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    • pp.319-332
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    • 2010
  • In general, wastewater treatment systems consume high-energy consumption depending on operation characteristics of the facilities. Therefore, greenhouse gas(GHG) reduction activities that are application of digestion gas, induction of renewable energy etc. are conducted to reduce energy consumption and to increase energy independence ratio. In this study, GHG reduction in wastewater treatment system identified, searched application of Clean Development mechanism(CDM) approved methodology. If the methodologies apply to GHG reduction activities such as application of digestion gas, heat pump system using the wastewater as heat source, hydropower using the methodology determined CDM applicability, otherwise through several assumptions calculated expectable GHG reduction emissions and determined CDM applicability. As a result, the order of calculated GHG reduction emission showed that collected and energy generation of digestion gas is 66,775 $tCO_2$/yr, gas engine cogeneration system is 8,182 $tCO_2$/yr, heat pump system using the wastewater as a heat source is 72,715 $tCO_2$/yr, and hydropower is 561 $tCO_2$/yr. Consequently, the order of calculated Certified Emission Reductions(CERs) benefit showed that heat pump system using the wastewater, as a heat source is 1,381 million won/yr was estimated as the highest, followed by a collected and energy generation of digestion gas is 1,268 million won/yr.

Adipose-Derived Stem Cells Improve Efficacy of Melanocyte Transplantation in Animal Skin

  • Lim, Won-Suk;Kim, Chang-Hyun;Kim, Ji-Young;Do, Byung-Rok;Kim, Eo Jin;Lee, Ai-Young
    • Biomolecules & Therapeutics
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    • v.22 no.4
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    • pp.328-333
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    • 2014
  • Vitiligo is a pigmentary disorder induced by a loss of melanocytes. In addition to replacement of pure melanocytes, cocultures of melanocytes with keratinocytes have been used to improve the repigmentation outcome in vitiligo treatment. We previously identified by in vitro studies, that adipose-derived stem cells (ADSCs) could be a potential substitute for keratinocytes in cocultures with melanocytes. In this study, the efficacy of pigmentation including durability of grafted melanocytes and short-term safety was examined in the nude mouse and Sprague-Dawley rat after grafting of primary cultured human melanocytes, with or without different ratios of primary cultured human ADSCs. Simultaneous grafting of melanocytes and ADSCs, which were separately cultured and mixed on grafting at the ratios of 1:1, 1:2, or 1:3, showed better efficacy than that of pure melanocytes. Grafting of melanocytes cocultured with ADSCs resulted in a similar outcome as the grafting of cell mixtures. Skin pigmentation by melanocytes : ADSCs at the ratios of 1:1 and 1:2 was better than at 1:3. No significant difference was observed between the 1-week and 2-week durations in coculturing. Time-course microscopic examination showed that the grafted melanocytes remained a little longer than 6-week post-grafting. No inflammatory cell infiltration was observed in the grafted skin and no melanocytes were detectable in other organs. Collectively, grafting of melanocytes and ADSCs was equally safe and more effective than grafting of melanocytes alone. Despite the absence of significant differences in efficacy between the group of 1:1 and that of 1:2 ratio, 1:2 ratio for 1-week coculturing may be better for clinical use from the cost-benefit viewpoint.

Effect of Dietary Glutamine Supplement on Performance and Intestinal Morphology of Weaned Pigs

  • Lee, Der-Nan;Cheng, Yeong-Hsiang;Wu, Fu-Yu;Sato, Hiroyuki;Shinzato, Izuru;Chen, Shih-Ping;Yen, Houng-Ta
    • Asian-Australasian Journal of Animal Sciences
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    • v.16 no.12
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    • pp.1770-1776
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    • 2003
  • Two experiments were conducted to investigate the effect of dietary glutamine (Gln) supplement on the performance and villus morphology of weaned pigs. In Exp. 1, 48 pigs were fed diets supplemented with 0, 0.5, 1.0, or 1.5% Gln for 28 days. Dietary Gln supplemented levels did not influence performance and plasma Gln concentration of weaned pigs. In Exp. 2, 48 weaned pigs were fed the same treatment diets of Exp. 1 for 7 or 14 days. Dietary Gln supplement reduced the ratio of small intestine weight to empty carcass weight at d 14 postweaning. However, the villus height and villus height/crypt depth ratio at the duodenum were increased. IgA and protein in the bile from d 7 and d 14 postweaning were higher in the pigs fed the diet supplemented with 0.5% Gln. Plasma IgA concentration was not influenced by dietary Gln levels. In conclusion, dietary Gln supplement might benefit the development of the small intestine and bile IgA production in weaned pigs.

Effects of Scrophulariae Radix (SR) on Allergic Contact Dermatitis (ACD) induced by DNCB in mice (현삼이 DNCB로 유발된 알레르기성 접촉성 피부염에 미치는 영향)

  • Song, Jin-Soo;Lee, Jong-Cheol;Choi, Jung-Hwa;Kim, Jong-Han;Park, Soo-Yeon
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.24 no.3
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    • pp.1-16
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    • 2011
  • Objective : In the theory of Korean medicine, Scrophulariae Radix (SR) can clear away heat and cool the blood, nourish yin and promote the production of the body fluids, relieve toxin and benefit the throat. The present study was carried out to investigate effects of SR on allergic contact dermatitis (ACD) induced by 2,4-dinitrochlorobenzene (DNCB) in mice. Methods : In this experiment, effects of SR on clinical aspects on the skin, histopathological changes such as spongiosis, mast cell distribution, immune cell infiltration in tissue, spleen / body ratio and production levels of serum cytokines were investigated in vivo. In addition, effects on cell viability and release of b-hexosaminidase and histamine were also investigated in vitro. Results : SR treatment diminished erythema, desquamation and keratosis which were induced by repeated painting of DNCB. Spongiosis and edema were diminished by painting of SR in histopathological observation, infiltrations of mast cell and monocytes were also decreased in SR group. In addition, spleen / body ratio was lowered compared to ADC control group. Production level of IFN-${\gamma}$ in serum was decreased, but level of IL-4 did not affected by SR. Finally, more than 400 ${\mu}g/ml$ of SR treatment groups showed decreased cell viabilities in RBL-2H3 cells. Treatment with over 200 ${\mu}g/ml$ of SR decreased b-hexosaminidase release, and treatment with over 400 ${\mu}g/ml$ decreased histamine release in vitro. Conclusion : these data suggest that SR can decrease symptoms of ACD, then SR is useful to treat patient with ACD.

Mean Platelet Volume as a Prognostic Marker in Metastatic Colorectal Cancer Patients Treated with Bevacizumab-Combined Chemotherapy

  • Tunce, Tolga;Ozgun, Alpaslan;Emirzeoglu, Levent;Celik, Serkan;Bilgi, Oguz;Karagoz, Bulent
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.15
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    • pp.6421-6423
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    • 2014
  • Background: Recent studies have revealed a prognostic impact of the MPV (mean platelet volume)/platelet count ratio in terms of survival in advanced non-small cell lung cancer. However, there has been no direct analysis of the survival impact of MPV in patients with mCRC. The aim of the study is to evaluate the pretreatment MPV of patients with metastatic and non-metastatic colorectal cancer (non-mCRC) and also the prognostic significance of pretreatment MPV to progression in mCRC patients treated with bevacizumab-combined chemotherapy. Materials and Methods: Fifty-three metastatic and ninety-five non-metastatic colorectal cancer patients were included into the study. Data on sex, age, lymph node status, MPV, platelet and platecrit (PCT) levels were obtained retrospectively from the patient medical records. Results: The MPV was significantly higher in the patients with mCRC compared to those with non-mCRC ($7.895{\pm}1.060$ versus $7.322{\pm}1.136$, p=0.013). The benefit of bevacizumab on PFS was significantly greater among the patients with low MPV than those with high MPV. The hazard ratio (HR) of disease progression was 0.41 (95%CI, 0.174-0.986; p=0.04). In conclusion, despite the retrospective design and small sample size, MPV can be considered a prognostic factor for mCRC patients treated with bevacizumab-combined chemotherapy.

Comparison of the Effects of Deer Antler, Old Antler, and Antler Glue on Osteoporosis in Ovariectomized Rats

  • Park, Hae In;Lee, Kwang Ho
    • Journal of Acupuncture Research
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    • v.35 no.1
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    • pp.21-27
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    • 2018
  • Background: Examination of the effects of deer antler, old antler, and antler glue on postmenopausal osteoporosis in an ovariectomized Sprague-Dawley rat model. Methods: The study involved 7 experimental groups; SHAM (sham-operated rats), OVX (ovariectomized rats), E2 (ovariectomized rats with estradiol $10{\mu}g/kg$ daily, orally), DA (ovariectomized rats with deer antler extract 5.83 mg/kg), OA (ovariectomized rats with old antler extract 3.8 mg/kg), low-AG (ovariectomized rats with low dose of antler glue powder 12.5 mg/kg), high-AG (ovariectomized rats with high dose of antler glue powder 37.5 mg/kg). After 6 weeks of treatment, body weight, blood calcium, phosphorus, estradiol, liver [alkaline phosphatase (ALP), aspartate transaminase (AST), alanine transaminase (ALT)] and kidney [blood urea nitrogen (BUN)/creatinine ratio] function, and femoral bone mineral density (BMD) were measured. Results: The body weights of DA, OA, low-AG, and high-AG groups did not significantly differ from OVX group. Blood estradiol levels were significantly increased in the DA, low-AG, and high-AG groups compared to the OVX group. Blood calcium, phosphorus, ALP, AST, and ALT levels and BUN/creatinine ratio did not show significant changes in the DA, OA, low-AG, and high-AG groups. BMDs of the femur, and femoral head and neck were significantly increased in the low-AG group. In the OA group, the BMD of the femoral head and neck was significantly increased. Conclusion: Treatment with deer antler, or antler glue for 6 weeks was effective for increasing estradiol and femoral BMD in ovariectomized rats, suggesting that this may be of therapeutic benefit for osteoporosis.

A Study on the Effect of Government Support on the Innovation of Defense Industry: Evidence from Korean firms (방위산업 혁신에 대한 정부지원 효과에 관한 연구: 우리나라 방산기업을 중심으로)

  • Kong, Hee-Jung;Bong, Kang Ho;Park, Jaemin
    • Journal of Digital Convergence
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    • v.18 no.1
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    • pp.1-10
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    • 2020
  • In this study, an empirical analysis using Difference-in-Difference(DID) methods was conducted based on the data of domestic defense companies to look at the impact of government support on the performance of these defense industries. As a result, we found that the volume of sales and assets of defense enterprises does not increase or decrease solely on the benefit of government support. In addition, government support for net profit to total sales ratio and net profit to total assets ratio improved significantly, but the effect was only seen in the short term. Unlike previous studies that focused on identifying the existence of differences between industries, our research is different in that it is the first to analyze empirically within the Korean defense industry. It is also theoretically meaningful in that it looked at the effects of government support, especially in industries with unique characteristics that have yet to be known.